MEDICARE: AUSTIN BONE & JOINT CLINIC A PROF A ASSOC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881835247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN BONE & JOINT CLINIC A PROF A ASSOC

Provider Business Mailing Address
First Line	:	1015 E 32ND ST
Second Line	:	STE 101
City	:	AUSTIN
State	:	TX
Zip	:	78705-2700
Country	:	US
Telephone Number	:	512-477-6341
Fax Number	:	512-477-1148

Provider Business Practice Location Address
First Line	:	3001 BEE CAVES RD
Second Line	:	STE 220
City	:	AUSTIN
State	:	TX
Zip	:	78746-5590
Country	:	US
Telephone Number	:	512-795-8812
Fax Number	:	512-795-8993

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	STEPHEN M PEARCE
Credential	:	MD
Telephone Number	:	512-477-6341

Provider Enumeration Date	:	03/16/2009
Last Update Date	:	06/05/2012

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Directions to “AUSTIN BONE & JOINT CLINIC A PROF A ASSOC ” Practice Location

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